BY SUBMITTING THIS FORM, I CERTIFY THAT I AM THE OWNER OF THE PROPERTY DESCRIBED. I DID NOT CAUSE OR CONTRIBUTE TO THE DAMAGE SET FORTH HEREIN. ALL STATEMENTS MADE IN THIS STATEMENT OF CLAIM AND ANY ATTACHED DOCUMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF, AND CONSTITUTE MY COMPLETE AND ENTIRE CLAIM. NO MATERIAL INFORMATION HAS BEEN WITHHELD. FOR INTRASTATE MOVES IN CALIFORNIA AND WASHINGTON, REGULATIONS REQUIRE THAT ANY CLAIM FOR LOSS, DAMAGE, OR DELAY MUST BE SUBMITTED IN WRITING BY CLAIMANT AND RECEIVED BY CARRIER WITHIN 9 MONTHS FROM DATE OF DELIVERY. FOR INTRASTATE MOVES IN OREGON, HOWEVER, REGULATIONS REQUIRE THAT ANY CLAIM FOR LOSS, DAMAGE, OR DELAY MUST BE SUBMITTED IN WRITING BY CLAIMANT AND RECEIVED BY CARRIER WITHIN 3 MONTHS. FOR ALL INTERSTATE MOVES, REGULATIONS REQUIRE THAT ANY CLAIM FOR LOSS, DAMAGE, OR DELAY MUST BE SUBMITTED IN WRITING BY CLAIMANT AND RECEIVED BY CARRIER WITHIN 9 MONTHS FROM DATE OF DELIVERY.

About Chipman Relocation & Logistics

With movers in California, Washington and Oregon, in addition to a worldwide network of agents, Chipman Relocation & Logistics expertly manages residential, commercial and international moves efficiently and to customer satisfaction. Discover the Chipman difference as you relax and turn your move over to us!